dyoungberg
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Good Morning
I have a Vascular doctor who is insisting it is correct to append modifier 26 to surgical and office visit cpt codes such as 36471, 36475, 99213. (36471 & 36475 are being performed in the doctor's office.) I don't believe this is correct based on John Verhovshek's blog written August 2015. I've also read the CMS Physician Fee Schedule relative value guidelines which also supports John's information.
I feel that if I show the doctor the article, it may clear this up somewhat. I would just like to confirm that appending modifier 26 to the above codes is incorrect.
Can anyone provide any additional information that might be helpful?
Thanks very much!
Debbie Youngberg, CPC
I have a Vascular doctor who is insisting it is correct to append modifier 26 to surgical and office visit cpt codes such as 36471, 36475, 99213. (36471 & 36475 are being performed in the doctor's office.) I don't believe this is correct based on John Verhovshek's blog written August 2015. I've also read the CMS Physician Fee Schedule relative value guidelines which also supports John's information.
I feel that if I show the doctor the article, it may clear this up somewhat. I would just like to confirm that appending modifier 26 to the above codes is incorrect.
Can anyone provide any additional information that might be helpful?
Thanks very much!
Debbie Youngberg, CPC